应用棒纹牛蛭治疗指尖再植术后血管危象1例  

A Case Report on Vascular Crisis Treatment by Using Poecilobdella javanica after Fingertip Replantation

作　　者：仝向荣[1,2] 王德斌 苏源 路斌[1,2] 刘子超 

机构地区：[1]昆明学院生命科学与技术系,云南昆明650214 [2]云南省高校特色生物资源开发与利用重点实验室,云南昆明650214 [3]昆明市滇池水生态修复重点实验室,云南昆明650214

出　　处：《昆明学院学报》2017年第6期115-117,共3页Journal of Kunming University

基　　金：国家自然科学基金资助项目(31360516);云南省教育厅科研基金资助项目(2012Y463)

摘　　要：采用水蛭吸血疗法对1名21岁男性断指患者实施无静脉吻合指尖再植手术后血管危象治疗.连续3 d定期用棒纹牛蛭吸取患者指尖血液,每次用2条棒纹牛蛭吸血,每天吸食2次,直至其吸饱后自动脱离.经棒纹牛蛭吸血治疗后,患者指尖逐渐由青紫色变得红润,肿胀感消失,未出现伤口感染症状.经过后期护理,无静脉吻合指尖再植手术取得成功.Treatment of vascular crisis with leech therapy was applied to a 21-year-old patient after f ingert ip replantation without venous anastomosis. The leech therapy was applied for three days with Poecilobdella javanica sucking the replanted f ing ertip. Two leeches were used each time and twice each day until they are automatically separated from sucking. After treatment of leech-sucking, the dark purple fingertip gradually turned to red; the swelling vis ib ly reduced, and normal capillary was refilled with blood. The wound was not in fe c -ted. After the post nursing, the finger replantation without venous anastomosis was successful.

关 键 词：水蛭吸血疗法 棒纹牛蛭 指尖再植 静脉淤血 

分 类 号：R658.1[医药卫生—外科学]